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1841361102
DEREK HARDIE
EVERETT, WA
NPI
1841361102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004498)
Enumeration Date
2006-11-10
Last Update Date
2021-05-18
Business Address
DEREK HARDIE PA-C
3927 RUCKER AVE
EVERETT, WA 98201-4833
Phone number: 425-339-5447
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Mailing Address
DEREK HARDIE PA-C
3726 BROADWAY STE 201
EVERETT, WA 98201-3788
Phone number: 425-258-3903
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